<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('学员详细')" />
</head>
<body>
<div class="main-content">
    <form class="form-horizontal" id="form-user-edit" th:object="${student}">
        <input name="studentId"  type="hidden"  th:field="*{studentId}" />
        <h4 class="form-header h4">基本信息</h4>
        <div class="row">
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">学员名称：</label>
                    <div class="col-sm-8">
                        <input name="studentName" placeholder="请输入学员名称" class="form-control" type="text" maxlength="30" th:field="*{studentName}" required>
                    </div>
                </div>
            </div>
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">生日：</label>
                    <div class="col-sm-8">
                        <input name="birthday" placeholder="请输入学员生日" class="form-control" type="text" maxlength="30" th:field="*{birthday}" required>
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">手机号码：</label>
                    <div class="col-sm-8">
                        <div class="input-group">
                            <input id="studentPhone" name="studentPhone" placeholder="请输入手机号码" class="form-control" type="text" maxlength="11" th:field="*{studentPhone}" required>
                            <span class="input-group-addon"><i class="fa fa-mobile"></i></span>
                        </div>
                    </div>
                </div>
            </div>
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">邮箱：</label>
                    <div class="col-sm-8">
                        <div class="input-group">
                            <input id="email" name="email" class="form-control email" type="text" maxlength="50" placeholder="请输入邮箱" th:field="*{email}" required>
                            <span class="input-group-addon"><i class="fa fa-envelope"></i></span>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">身份证号码：</label>
                    <div class="col-sm-8">
                        <input name="cardId" placeholder="请输入身份证号码" class="form-control" type="text" maxlength="30" th:field="*{cardId}" required>
                    </div>
                </div>
            </div>
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">就读学校：</label>
                    <div class="col-sm-8">
                        <input name="school" placeholder="请输入就读学校名称" class="form-control" type="text" maxlength="30" th:field="*{school}" required>
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">性别：</label>
                    <div class="col-sm-8">
                        <select name="sex" class="form-control m-b" th:with="type=${@dict.getType('sys_user_sex')}">
                            <option th:each="dict : ${type}" th:text="${dict.dictLabel}" th:value="${dict.dictValue}" th:field="*{sex}"></option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">名族：</label>
                    <div class="col-sm-8">
                        <input name="wxNo" placeholder="请输入名族" class="form-control" type="text" maxlength="30" th:field="*{wxNo}"></option>
                    </div>
                </div>
            </div>
        </div>
        <h4 class="form-header h4">家长信息</h4>
        <div class="row">
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">家长姓名：</label>
                    <div class="col-sm-8">
                        <input name="parentName" placeholder="家长姓名" class="form-control" type="text" maxlength="30" th:field="*{parentName}"></option>
                    </div>
                </div>
            </div>

        </div>
        <div class="row">
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">手机号码：</label>
                    <div class="col-sm-8">
                        <div class="input-group">
                            <input id="parentPhone" name="parentPhone" placeholder="请输入手机号码" class="form-control" type="text" maxlength="11" th:field="*{parentPhone}"></option>
                            <span class="input-group-addon"><i class="fa fa-mobile"></i></span>
                        </div>
                    </div>
                </div>
            </div>
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">联系地址：</label>
                    <div class="col-sm-8">
                        <input name="address" placeholder="请输入联系地址" class="form-control" type="text" maxlength="30" th:field="*{address}"></option>
                    </div>
                </div>
            </div>
        </div>

        <h4 class="form-header h4">报名信息</h4>
        <div class="row">
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">留学方向：</label>
                    <div class="col-sm-8">
                        <input name="outStudent" placeholder="留学方向" class="form-control" type="text" maxlength="30" th:field="*{outStudent}"></option>
                    </div>
                </div>
            </div>
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">身体健康状况：</label>
                    <div class="col-sm-8">
                        <p class="form-control-plaintext" th:text="*{@dict.getLabel('sys_student_health', healthInfo)}"></p>
                    </div>

                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">报名班类：</label>
                    <div class="col-sm-8">
                        <input name="classType" placeholder="报名班类" class="form-control" type="text" maxlength="30" th:field="*{classType}"></option>
                    </div>
                </div>
            </div>
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">报名时间：</label>
                    <div class="col-sm-8">
                        <input name="applicationTime" placeholder="报名时间" class="form-control" type="text" maxlength="30"  th:field="*{applicationTime}"></option>
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">预期入学时间：</label>
                    <div class="col-sm-8">
                        <input name="classLimitTime" placeholder="预期入学时间" class="form-control" type="text" maxlength="30" th:field="*{classLimitTime}"></option>
                    </div>
                </div>
            </div>
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label is-required">获知渠道：</label>
                    <div class="col-sm-8">
                        <input name="accessChannels" placeholder="获知渠道" class="form-control" type="text" maxlength="30" th:field="*{accessChannels}"></option>
                    </div>
                </div>
            </div>
        </div>
    </form>
</div>

	<th:block th:include="include :: footer" />
</body>
</html>